Female Sexual Dysfunctions and Urogynecological Complaints: A Narrative Review

Mosca, Lavinia; Riemma, Gaetano; Braga, Andrea; Frigerio, Matteo; Ruffolo, Alessandro Ferdinando; Dominoni, Mattia; Munno, Gaetano Maria; Uccella, Stefano; Serati, Maurizio; Raffone, Antonio; Salvatore, Stefano; Torella, Marco

doi:10.3390/medicina58080981

Cited by 4 publications

(2 citation statements)

References 168 publications

(238 reference statements)

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“…There is strong evidence that PFD has a negative impact on female sexual function and that the coexistence of PFDs has a cumulative negative effect on sexual function. 7 , 35 Sexual function is complex and varies across populations and throughout the life course. The Natsal-3 survey cited an overall prevalence of 51.2% women reporting at least 1 sexual function problem lasting ≥3 months in the past year.…”

Section: Discussionmentioning

confidence: 99%

Pelvic floor disorders and impact on sexual function: a cross-sectional study among non–sexually active and sexually active women

Stafne,

Ulven,

Prøsch-Bilden

et al. 2024

Sexual Medicine

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Background Pelvic floor disorders are common and associated with impaired sexual function in women. Aim To assess women with pelvic floor disorders and describe factors associated with not being sexually active and those associated with sexual function in sexually active women. Methods A cross-sectional study was conducted that included nonpregnant women with symptoms of pelvic floor disorders who were referred to the urogynecologic and surgical outpatient clinic at 2 Norwegian university hospitals: St Olavs Hospital, Trondheim University Hospital, and the University Hospital of Northern Norway, Tromsø. Women answered a questionnaire anonymously. Outcomes Pelvic Organ Prolapse Incontinence Sexual Questionnaire–IUGA Revised. Results Of 157 respondents, 111 (71%) reported being sexually active (with or without a partner), and 46 (29%) reported not being sexually active. As compared with sexually active women, not sexually active women were older (mean ± SD, 60.2 ± 13.3 vs 51 ± 12.1 years; P < .001), more were menopausal (78% vs 47%, P = .001), and more had symptom debut <1 year (31% vs 9%, P < .001). They reported more distress related to pelvic floor disorders, especially pelvic organ prolapse. In a multivariate logistic regression analysis, menopausal women and women with symptom debut <1 year were 4 times more likely to be not sexually active than premenopausal women (odds ratio, 4.0; 95% CI, 1.7-9.2) and women with symptom debut ≥1 year (odds ratio, 4.0; 95% CI, 1.5-10.7). In sexually active women, colorectal-anal distress was negatively associated with 5 of 6 domains of sexual function: arousal/orgasm (ß = –0.36; 95% CI, –0.02 to –0.005), partner related (ß = –0.28; 95% CI, –0.01 to –0.002), condition specific (ß = –0.39; 95% CI, –0.002 to –0.009), global quality (ß = –0.23; 95% CI, –0.02 to –0.002), and condition impact (ß = –0.34; 95% CI, –0.02 to –0.006). Clinical Implications Health care professionals should discuss sexual function in patients with pelvic floor disorders, especially menopausal women and women with colorectal-anal symptoms. Strengths and Limitations The study used condition-specific measures and recruited women from 2 university hospitals with wide range of age. Limitations include the small sample size and wide confidence intervals. The number of women who considered themselves not sexually active was low, and item nonresponse levels among these women where somewhat high. Of 625 eligible women, 200 (32%) answered the questionnaire. Sexual health and sexual function are still surrounded with taboo, and some women were probably not comfortable answering the questions. Conclusion Menopausal women and women with recent onset of symptoms of pelvic floor disorders are more likely to be sexually inactive, and colorectal-anal symptoms have the most negative impact on sexual function in sexually active women.

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Section: Discussionmentioning

confidence: 99%

Pelvic floor disorders and impact on sexual function: a cross-sectional study among non–sexually active and sexually active women

Stafne,

Ulven,

Prøsch-Bilden

et al. 2024

Sexual Medicine

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“…These menopausal-related modifications involve a higher risk of vaginal and urinary infections, urinary leakage, vaginal tissue trauma, and quality of life impairment [ 4 , 5 , 6 , 7 , 8 , 9 , 10 ]. Additionally, vaginal relaxation syndrome may occur as a gradual weakening and laxity of the mucosa over time; this fact may lead to stress urinary incontinence, pelvic organ prolapse, sexual dysfunction, and other pelvic floor disorders [ 11 , 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

A Novel Method for the Measurement of the Vaginal Wall Thickness by Transvaginal Ultrasound: A Study of Inter- and Intra-Observer Reliability

Bosio,

Barba,

Vigna

et al. 2024

Medicina

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Background and Objectives: A consensus regarding the optimal sonographic technique for measuring vaginal wall thickness (VWT) is still absent in the literature. This study aims to validate a new method for measuring VWT using a biplanar transvaginal ultrasound probe and assess both its intra-operator and inter-operator reproducibility. Material and Methods: This prospective study included patients with genitourinary syndrome of menopause-related symptoms. Women were scanned using a BK Medical Flex Focus 400 with the 65 × 5.5 mm linear longitudinal transducer of an endovaginal biplanar probe (BK Medical probe 8848, BK Ultrasound, Peabody, MA, USA). Vaginal wall thickness (VWT) measurements were acquired from the anterior and posterior vaginal wall at three levels. Results: An inter-observer analysis revealed good consistency between operators at every anatomical site, and the intra-class coefficient ranged from 0.931 to 0.987, indicating high reliability. An intra-observer analysis demonstrated robust consistency in vaginal wall thickness measurements, with an intra-class coefficient exceeding 0.9 for all anatomical sites. Conclusions: The measurement of vaginal wall thickness performed by transvaginal biplanar ultrasound was easy and demonstrated good intra- and inter-operator reliability.

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